Respiratory infections remain the leading cause of high morbidity and mortality worldwide. Of particular interest are the consequences of viral epidemics (especially SARS-CoV-2) on a number of diseases including tuberculosis that remains a major public health problem worldwide.

OBJECTIVE

Morphological description of organs in COVID-19 in a patient with chronic obstructive pulmonary disease and tuberculosis.

MATERIAL AND METHODS

The analysis of the medical documentation (outpatient card of the patient, medical history), clinical and morphological analysis (description of macro- and micro-preparations) using the histological research method were carry out.

RESULTS

A 55-year-old patient was submitted to the infectious diseases department by an ambulance team with complaints of dry cough, feeling short of breath, shortness of breath, fever up to 38.5 °C, and lack of appetite. He considered himself sick for 10 days when he began to note the above complaints. On an outpatient basis, he took antibacterial, expectorant drugs. He did not observe much improvement in his health status. He underwent a computed tomography of the lungs where signs of bilateral lower lobe pneumonia were revealed (up to 56% of the lesion) a picture of pulmonary fibrosis, fibrous-focal tuberculosis of the upper lobe of the right lung. Having the inpatient treatment the condition worsened and the patient died.

CONCLUSION

The patient’s cause of death was the coronavirus infection COVID-19, which caused bilateral total viral pneumonia, complicated by acute respiratory distress syndrome. The presence of concomitant pathology — chronic obstructive pulmonary disease with fibrous-focal tuberculosis of the upper lobe of the right lung — aggravated the course of the disease and, undoubtedly, contributed to the development of death.